Dignity Health Inpatient Coder II in RANCHO CORDOVA, California

Overview

Dignity Health operates six hospitals in the Greater Sacramento Service Area - Mercy General Hospital, Mercy Hospital of Folsom, Mercy San Juan Medical Center, Methodist Hospital of Sacramento, Sierra Nevada Memorial Hospital and Woodland Memorial Hospital; as well as Mercy Home Health and Hospice, and Dignity Health Medical Foundation, which includes Mercy Medical Group, Woodland Clinic and Mercy Imaging Centers. Dignity Health is dedicated to providing compassionate, high-quality and affordable patient-centered care with special attention to the poor and underserved. In FY16, Dignity Health provided $2.2 billion in charitable care and services. For more information, please visit our website at dignityhealth.org/Sacramento. You can also follow us on Twitter @DignityHlthSac and Facebook.com/DignityHealthSacramento.

Responsibilities

Position Summary:

The Greater Sacramento Service Areas (GSSA) Inpatient Coder II is a regional position and the primary function of this position is performing coding and abstracting of inpatient accounts using the ICD-10-CM and ICD-10-PCS classification system and MS-DRG expertise. The Inpatient Coder II responsibilities will cover all inpatient encounters. The position also requires familiarity of complex specialty coding such as Interventional Radiology. Through the assignment of appropriate ICD-10-CM and ICD-10-PCS codes, the Inpatient Coder II will play a critical role in Dignity Health’s billing, internal and external reporting, research, and regulatory compliance efforts. The position works in a cooperative team environment to provide value to customers both internal and external to Dignity Health.

Core Duties:

  • Assign codes for diagnoses, treatments, and procedures according to the appropriate classification system for complex inpatient encounters

  • Review provider documentation to determine principal diagnosis, co-morbidities and complications, secondary conditions and surgical procedures

  • Utilize technical coding principals and MS-DRG reimbursement expertise to assign appropriate ICD-10-CM diagnoses and ICD-10- PCS procedures on all Inpatient admissions

  • Ensure accurate coding by clarifying diagnosis and procedural information through a query process

  • Assign Present on Admission (POA) value for inpatient diagnoses

  • Extract required information from source documentation and enter into encoder and abstracting system

  • Identifies non-payment conditions; Hospital Acquired Conditions (HAC) and when required, report through established procedures

  • Reviews documentation to verify and when necessary, correct the patient disposition upon discharge

  • Prioritize work to ensure timeframe of medical record coding meets regulatory requirements

  • Serve as a resource for coding related questions to other employees as appropriate

  • Meet performance and quality standards at the Inpatient Coder II level

  • Abide by the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA) and adheres to official coding guidelines

Qualifications

Minimum Qualifications:

  • High School Diploma or equivalent required

  • Three years of relevant coding and abstracting experience or equivalent combination of education and experience required

  • Prior coding classes required. Applicants must have completed one of the following:

  • Anatomy/Physiology, Medical Terminology and ICD-10-CM/ICD-10-PCS coding courses conforming to American Hospital Association, American Medical Association, or CMS standards

  • An AAPC or AHIMA accredited coding certification program

  • Special skills required include:

  • Analytical/critical thinking; problem solving

  • Knowledge and application of ICD-10-CM, HCPCS and ICD-10-PCS classification and high ethical standards

  • Excellent written and verbal communication skills, including the ability to present ideas and concepts effectively across organizational levels

  • Knowledge of information privacy laws, access, release of information, and release control technologies

  • Knowledge of hospital protocols and procedures

  • Working knowledge of functional relationships between departments within a healthcare or similar environment

  • Knowledge of JCAHO, HIPAA, HCFA, Title 22, security principles, guidelines, and standard healthcare practices

  • Demonstrated competencewith personal computers, networks, and Microsoft Office

Preferred Qualifications:

  • CCS, CCS-P, RHIT, or RHIA preferred

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Equal Opportunity

Dignity Health is an Equal Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, protected Veteran status or any other characteristic protected by law. For more information about your EEO rights as an applicant, please

If you need a reasonable accommodation for any part of the employment process, please contact us by telephone at (415) 438-5575 and let us know the nature of your request and your contact information. Requests for accommodation will be considered on a case-by-case basis. Please note that only inquiries concerning a request for reasonable accommodation will be responded to from this telephone number.

Job ID 2018-59136

Employment Type Full Time

Department HIM Coding

Hours / Pay Period 80

Facility Mercy Healthcare Sacramento

Shift Varied

Location RANCHO CORDOVA

State/Province CA

Standard Hours Varied

Work Schedule 8 Hour